Abstract:[Objective] To explore the effect of hyperoside on dexamethasone (Dex)-induced inhibition of proliferation and osteogenic differentiation of bone marrow mesenchymal stem cells (BMSCs) and the potential molecular mechanism. [Methods] The BMSCs were isolat- ed from mice and cultured in vitro, and were divided into blank control group (BC), Dex group, Dex + hyperoside 1 μM group (DH-1), Dex + hyperoside 2 μM group (DH-2) and Dex + hyperoside 5 μM group (DH-5). After the osteogenic differentiation of BMSCs was induced, the cell viability was measured by CCK8 assay, the activity of alkaline phosphatase (ALP) was detected using ALP activity kit, and the mineral- ization level was observed by Alizarin Red S staining. In addition, the mRNA expressions of ALP, Runx2, and Osterix were measured by qRT-PCR, while protein expressions of PI3K, p-PI3K, AKT, and p-AKT in BMSCs were determine by western blot assay. [Results] The cell vitality of BMSCs was ranked from high to low as follows: BC group > every hyperoside groups (DH- 1 group, DH- 2 group, DH- 5 group) > Dex group, which was statistically significant (P<0.05), despite that there was no significant difference in cell vitality among DH-1 group, DH-2 group and DH-5 group (P>0.05). The ALP activity was up-down as BC group >DH-5>DH-2>DH-1>Dex, with a statistically significant overall difference (P<0.05). After 14 days of osteogenic induction, the formation of mineralized nodules in Dex group was the least, while which gradually increased with the increase of Hyperoside concentration in a certain dose dependence manner. The mRNA ex- pressions of ALP, Runx2 and Osterix were ranked up-down as the BC>DH-5>DH-2>DH-1>Dex, with a statistically significant overall dif- ference among groups (P<0.05). Compared with those in the BC group, the p-PI3K/PI3K ratio [(1.0±0.2) vs (0.4±0.1), P<0.05] and p-AKT/ AKT ratio [(1.0±0.1) vs (0.6±0.1), P<0.05] in the Dex group significantly reduced. However, compared with those in Dex group, the p-PI3K/ PI3K ratio [(0.4±0.1) vs (0.8±0.1), P<0.05] and p-AKT/AKT [(0.6±0.1) vs (0.9± 0.1), P<0.05] in the hyperoside group significantly in-creased. [Conclusion] The hyperoside might alleviates Dex- induced inhibition of proliferation and osteogenic differentiation of BMSCs through PI3K/AKT signaling pathway.